Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shinobu Luisa Kaneko, MD

Individual provider Family Medicine Physician · NPI 1750388633

Dr. Shinobu Luisa Kaneko, MD is a Family Practice in Monterey Park, California. Qualified in 1999, 27 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

823 S Atlantic Blvd Ste 4
Monterey Park, CA 91754-4721
Phone: (626) 458-1201
Fax: (626) 458-3736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A80720 (CA)

Record details

NPI number1750388633
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2005
Last updated in NPPESOctober 18, 2022
Certification dateOctober 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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